Policy and Procedures
- Documentation and Coding -

• Medical Record Documentation DC – 300
• Revising Medical Record Documentation DC – 301
• Procedural Coding for CPT and CDT Codes DC – 302
• ICD-9-CM Diagnosis Coding DC – 303
• General Documentation & Coding Guidelines for Evaluation & Management Services DC – 304
• Evaluation & Management (E&M) Codes for Hospital Inpatient Services DC – 305
• Evaluation & Management (E&M) Codes for Hospital Observation Services DC – 306
• Evaluation & Management (E&M) Codes for Hospital Outpatient Services DC – 307
• Time Based Services - Counseling and Coordination of Care DC – 308
• Time Based Services - Critical Care Services DC – 309
• Time Based Services - Neonatal Intensive Care Services DC – 310
• Time Based Services - Prolonged Services DC – 311
• General Teaching Documentation & Coding Guidelines for Surgical Specialty DC – 312
• General Teaching Documentation & Coding Guidelines for Concurrent Surgeries DC – 313
• General Teaching Documentation & Coding Guidelines for Assistants at Surgery DC – 314
• General Teaching Documentation & Coding Guidelines for Psychiatric Services DC – 315
• General Teaching Documentation & Coding Guidelines for Endoscopy Procedures DC—316
• General Teaching Documentation & Coding Guidelines for Consultations DC – 317
• General Teaching Documentation & Coding Guidelines for Anesthesia Services DC – 318
• General Teaching Documentation & Coding Guidelines for Radiological Services DC – 319
• General Teaching Documentation & Coding Guidelines for Dental Services DC – 320
• General Teaching Documentation & Coding Guidelines for Pathology DC – 321
• General Teaching Documentation & Coding Guidelines for Physical and Occupational Therapy DC – 322
• Medicare's Primary Care Exception DC – 323